<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN"
"http://www.w3.org/TR/html4/strict.dtd">
<html>
   <head>
      <title>Rental Application</title>
      <link rel="shortcut icon" href="icon.png" />
      <link rel="stylesheet" media="print" href="rentap-trans-print.css">
      <link rel="stylesheet" media="screen" href="rentap-trans-screen.css">
   </head>
   
   <body>
   <form>
      <table id=rentapheader>
         <tr>
            <td>
               <img src="icon.png" width="40" height="32" /img>
            </td>
            <td>
               <input type="text" id="rentaladdress" value="enter rental address"/>
               <input type="text" id="rentalcitystzip" value="enter city, state, zip"/>
            </td>
            <td id=tdrtitle>
               <input type="text" id="rtitle" value="enter title"/>
            </td>
            <td>
               <label for="authdate" class="smalllabelinput">Applied</label>
               <input type="text" id="authdate" value="" />
               <div style="font: 12px/14px sans-serif; display:inline-block; position: relative; top: -10px;">
               Row:</div> <input type="text" id="rowprint" value="" />
            </td>
            <td>
               <label for="guestdate" class="smalllabelinput">Guest</label>
               <textarea id="guestdate" cols="8" rows="2"></textarea>
            </td>
            <td>
               <label for="rentdate" class="smalllabelinput">Rented</label>
               <textarea id="rentdate" cols="8" rows="2"></textarea>
            </td>
            <td id="headercontrols">
               <div id="google_translate_element"></div><script>
               function googleTranslateElementInit() {
                 new google.translate.TranslateElement({
                   pageLanguage: 'en',
                   autoDisplay: false
                 }, 'google_translate_element');
               }
               </script><script src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script>
            </td>
         </tr>
      <table id=rentapbody>
         <tr>
         <td>
            <ul>
               <li class="section_header">
                  <strong>Personal Information</strong>
               </li>
               <li>
                  <label for="fullname" class="personalinfo">Full Name</label>
                  <input type="text" id="fullname" value="" />
               </li>
               <li>
                  <label for="ssnumber" class="personalinfo">Social Security Number</label>
                  <input type="text" id="ssnumber" value="" />
               </li>
               <li>
                  <label for="birthdate" class="personalinfo"">Birth Date</label>
                  <input type="text" id="birthdate" value="" />
               </li>
               <li>
                  <label for="maritalstatus" class="personalinfo">Marital Status</label>
                  <input type="text" id="maritalstatus" value="" />
               </li>
               <li>
                  <label for="email" class="personalinfo">Email</label>
                  <input type="text" id="email" value="" />
               </li>
               <li>
                  <label for="stateid" class="personalinfo">State ID#</label>
                  <input type="text" id="stateid" value="" />
               </li>
               <li>
                  <label for="phone1" class="personalinfo">Phone 1</label>
                  <input type="text" id="phone1" value="" />
               </li>
               <li>
                  <label for="phone2" class="personalinfo">Phone 2</label>
                  <input type="text" id="phone2" value="" />
               </li>
               <li>
                  <label for="currentaddress" id="currentaddresslabel"><strong>Current Address, City, State, Zip, Dates, Rent, Landlord name and phone number </strong></label>...
                  <textarea id="currentaddress" cols="31" rows="5" ></textarea>
               </li>
               <li>
                  <label for="previousaddresses"><strong>Prior Addresses, Cities, States, Zips, Dates, Rents, Landlords </strong></label>...
                  <textarea id="previousaddresses" cols="31" rows="11"></textarea>
               </li>
            </ul>
         </td>
         <td>
            <ul >
               <li>
                  <label for="occupants"><strong>Proposed Occupants: self+age, other+age </strong></label>...
                  <textarea id="occupants" cols="31" rows="5"></textarea>
               </li>
               <li>
                  <label for="pets"><strong>Proposed Pets</strong></label>
                  <textarea id="pets" cols="31" rows="4"></textarea>
               </li>
               <li>
                  <label for="income"><strong>Income &amp Food Stamps</strong></label>
                  <textarea id="income" cols="31" rows="8"></textarea>
               </li>
               <li>
                  <label for="employment"><strong>Employment: address, job, dates, hours, supervisor name and phone number</strong></label>...
                  <textarea id="employment" cols="31" rows="9"></textarea>
               </li>
            </ul>
         </td>
         <td>
            <ul>
               <li>
                  <label for="evictions"><strong>Evictions Past 10 Years</strong></label>
                  <textarea id="evictions" cols="31" rows="6"></textarea>
               </li> 
               <li>
                  <label for="felonies"><strong>Felonies/Drug Convictions</strong></label>
                  <textarea id="felonies" cols="31" rows="6"></textarea>
               </li>
               <li>
                  <label style="position: relative; top: 7px;"><strong>Applicant Authorization</strong></label>
                  <div style="position: relative; top: 7px;">
                     Applicant authorizes the landlord to
                     contact past and present landlords,
                     employers, and any other sources deemed 
                     necessary. All information is true, 
                     accurate, and complete to the best of 
                     applicant's knowledge. 
                     ANY PERSON IS AUTHORIZED TO RELEASE INFORMATION 
                     ABOUT THE UNDERSIGNED
                  </div>
                  <div style="position: relative; top: 36px;">
                     Sign __________________ Date ________
                  </div>
                  <div style="position: relative; top: 70px;">
                     Print ______________________________ 
                  </div>    
               </li>
            </ul>
         </td>
         <td id="controls">
            <ul>
               <li>
                  <strong>Choose Language Above</strong>
               </li>
               <li>
                  <a href="rentap-translate-instructions.html" style="font: 12px/14px sans-serif; padding-left:20px">Instructions By Example</a>
               </li>
               <li>
                  <div style="padding:14px" />
               </li>
               <li>
                  <strong>Printing</strong> Either ctrl-p or File->Print... Scale 89% or experiment. Set <em>Page Setup,
                  Paper Orientation</em> to <strong>Landscape</strong>. Set <em>Options, headers and footers</em> to <strong>blank</strong> and don't ignore scaling.
                  Print page 2.
                  Page 1 will show the Google Translate banner.<p>
                  You can't print in English unless you first translate 
                  to another language to bring up the Google Translate banner, and then use the banner to switch 
                  back to English. If you try to print directly without the Google Translate banner showing, the 
                  printout will be shifted too far up to fit on the page.
               </li>
               <li>
                  <div style="padding:8px" />
               </li>
            </ul>
         </td>
      </tr>
      </table>
   </form>
   </body>
</html>
